Parishioner update | Diocese of Jefferson City

Parishioner and school family update

This form can be used to send updated information on individuals in the Diocese of Jefferson City's database, including our school families. If you are wanting to update contact information for a priest or deacon, or for a parish or school, please use one of the other online forms available at https://diojeffcity.org/update-information/. If you don't have all the information available when you begin this form, you can save and submit later.

Please indicate your parish*
This allows us to verify the source of this information. Thank you!
Please provide us your email if we have questions:*
Please indicate the reason for this update:*
- New parishioner
- Children in the household
- Marriage of a current parishioner
- Separation or divorce of a current parishioner
- Change of contact information for a current parishioner
- Leaving parish; new address known or unknown
- Death
Please indicate what information you are updating:
Please check all information being updated.
- Postal address
- Phone numbers
- Email
- Parish
Parishioner or School Parent/Guardian information
Name*
Title First Last Nickname (if preferred to be used in correspondence)
Maiden Name (if applies)
Date of Death (if known)
MM slash DD slash YYYY
Address*
Please provide a mailing address. This allows us to confirm the individual's record in our database. (Enter "unknown" to advance, if you do not know)

Street Address Address Line 2 City State ZIP Code
New Address (if applicable)
If this address is seasonal, please indicate the time of year it should be used in the Additional Information field at the end of this form. If you do not have a forwarding address, please leave this section blank.

Street Address Address Line 2 City State ZIP Code

Phone numbers

Home phone	Mobile phone	Work phone

Primary phone
If the parishioner has indicated a preferred number to be used by the church.
Email
Parish*
If the individual is not Catholic or does not belong to a parish, please select None (at the bottom of the list).
Is this person married?
- Yes
- No
Date of marriage (if known)
MM slash DD slash YYYY
Spouse's Contact Information
Spouse
Title First Last Nickname (if preferred to be used in correspondence)
Maiden name (if applies)

Spouse's Phone numbers (if known)

Home phone	Mobile phone	Work phone

Spouse primary phone
If the parishioner has indicated a preferred number to be used by the church.
Spouse Email (if known)
Is the spouse a registered parishioner?
- Yes
- No
Are the spouses registered to the same parish?
- Yes
- No
Which parish is the spouse registered to? (if known)
Should the spouse/former spouse remain in our database?
- Yes
- No
Spouse/Former Spouse Address
Street Address Address Line 2 City State ZIP Code
Spouse/Former Spouse Parish*
If the individual is not Catholic or does not belong to a parish, please select None (at the bottom of the list).
Are children living in the household?*
- Yes
- No
- Do not know

Children

Please include the names of children living in the household. If you do not know date of birth or school, please leave blank.

Child first and last name	Date of birth (MO/DA/YR)	School

Additional information
Please provide any additional information you deem appropriate.
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Comments
This field is for validation purposes and should be left unchanged.

Save and Continue Later

Diocese of Jefferson City
573-635-9127 | 2207 West Main Street
Jefferson City, MO 65109-0914 | diojeffcity.org

Parishioner and school family update

Parishioner or School Parent/Guardian information

Spouse's Contact Information

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